Health journalism

I’ve edited Nature’s weekly round-up of cancer news, opinion and analysis since 2022. (Subscribe here)

Medscape

I’ve been writing Australian political news for doctors with Medscape since 2025.

Features

Published with The Sick Times | 29 July 2025

Last year, Reddit user Dry-One-8770 published the following post: “From bed bound with severe post-exertional malaise to playing basketball in six weeks: a rapamycin success story.” 

Dry-One-8770, a 26-year-old based in California who asked to be called Alex, developed Long COVID after an infection in March 2022. He tried low-dose naltrexone and every supplement he could get his hands on. But he couldn’t find a physician who would prescribe rapamycin, a drug that was emerging as a study target for the disease. “They laughed me out of the room,” said Alex in an interview. 

So, last summer, he went to a telehealth provider called Healthspan that specializes in supplying rapamycin for longevity. “It was at my door within two weeks,” he said. Initially, each weekly 5-milligram dose was followed by an intense headache, but this faded away over time. He had a few mouth sores too, a common side effect of the drug. 

At first, Alex was cautious and did not purposely leave bed to exercise. But then, when he accidentally overdid it, he noticed that he wasn’t being punished with post-exertional malaise. Rapamycin “has been the only thing that has worked, and it is nothing short of a miracle,” Alex wrote on Reddit. 

But six months after starting the drug, Alex began feeling sick after exercise. He has now stopped taking rapamycin and relapsed. “I’m essentially back where I was before,” he said. Despite this major setback, Alex is feeling confident that an effective treatment for Long COVID is just around the corner…

Published on ABC News | 23 February 2024

The widespread asbestos contamination of mulch used in parks, schools and residential areas has left residents of Sydney and Canberra wondering what the health risks might be.

While it may be alarming to see ASBESTOS signs popping up in your neighbourhood, experts say the mulch does not pose a significant risk to the general public.

How can this be? Public health campaigns through the 1980s and '90s have made asbestos synonymous with cancer.

Let's unpack how asbestos causes health problems and what types of exposure are most likely to put people at risk...

Made a splash

  • My partner and I both have Long Covid. We tread the underworld together.

    When you have lost the ability to generate hope for yourself, family support provides that hope for you. Even if you don’t recover, they still love you and they are doing okay.

    Published with The Sick Times

  • Long COVID denialism puts you on the wrong side of history

    Imagine, just for a moment, that HIV/AIDS was spoken about in the media with the same denialist language that is often used to describe long COVID. Oh wait, you don’t have to…

    Published on Medium

  • How long COVID turned the lives of 15 Australians upside down

    This collection of true stories is my salute to Australians who are going through long COVID, and to their ME/CFS allies who have been at this advocacy work for decades.

    Published on Medium

  • Things I wish I knew before I caught Covid

    After so long reporting on the Covid pandemic as a health journalist, Felicity thought she’d be prepared when she caught it. She was wrong.

    Published with news.com

  • 'No one wants to talk about long COVID anymore. Except those of us with it.'

    There is a quiet emergency happening in a few thousand Australian homes.

    It's so quiet that often not even close family and friends are aware of the extent and depth of the crisis.

    Published with Mamamia

  • Life on a timer

    I went for an hour-long walk and my partner had to come rescue me. That’s long covid.

    Published with The Medical Republic

  • How these agencies are breaching patient privacy

    Privacy experts have criticised Services Australia and AHPRA for sharing thousands of private health records every year without informing patients, a practice that appears to contradict the government’s own guidelines.

    Published in The Medical Republic

  • Why is the war on obesity being fought by skinny folks?

    Up until very recently, there has been no advocacy group in Australia for people with obesity. Doesn't that strike you as odd?

    Published in The Medical Republic

  • ENABLING AND OPTIMISING RECOVERY FROM COVID-19

    While there are no medications that cure Long COVID, that does not mean nothing helps. Having a voice and being heard helps. Sensible handbooks like this one help.

Exclusives

  • Australian government secretly releasing sensitive medical records to police

    The Australian government is releasing highly sensitive medical records to police through a secret regime that experts say contains fundamentally flawed privacy protections.

    The Department of Human Services fields large volumes of requests for Pharmaceutical Benefits Scheme (PBS) and Medicare Benefits Schedule (MBS) data from state and federal policing agencies each year.

    Published in Guardian Australia

  • 'Massive shortages': rural Australian pharmacies low on essential medications amid coronavirus

    Major drug wholesalers warn of unprecedented demand saying it is 30% to 40% higher than forecast.

    Rural pharmacists are struggling to source essential medications due to overwhelming demand on wholesalers amid the coronavirus crisis.

    The spread of Covid-19 has not yet caused a national shortage of medications and experts say there is no need whatsoever to panic buy.

    But the flood of orders from pharmacies has led to temporary shortages in some rural areas.

    Published in Guardian Australia

  • Pathology giants seek 50% rent reduction from hard-pressed Australian GPs amid coronavirus crisis

    Many doctors’ clinics depend on revenue from tenants, who are also hit by downturn.

    Major pathology corporations are attempting to halve their rental payments to GP practices across the country in a move that threatens to financially cripple clinics at a time of critical need.

    Many Australian GP clinics depend on rental payments from co-located pathology centres to remain viable, and the revenue source has become increasingly important during the coronavirus crisis, which has cut their patient numbers, upended their business model and left many on the brink of collapse.

    Published in Guardian Australia

deep dives

features

  • The real reasons we have drug shortages

    Shortlisted for the 2018 Australian Medical Writers Association Early-Career Award

  • What do we mean when we call something a disease?

    Published in The Best Australian Science Writing 2019 anthology

  • Senate inquiry puts ticks in the Lyme light

    Published in The Best Australian Science Writing 2017 anthology

  • Should we bring back the smallpox vaccine?

    It’s 1979 and Danish anthropologist Peter Aaby has taken the long flight, once again, to the tiny West African nation of Guinea-Bissau in the midst of a devastating measles outbreak.

    Mothers in Guinea-Bissau know that there’s about a 50% chance that their child will die before the age of five. Measles causes 10 to 15% of these deaths.

    In December that year, however, the Bandim Health Project, involving researchers such as Peter Aaby, launched the first measles vaccination campaign, and 85% of children were inoculated.

    And that’s when something really unexpected happened. Instead of childhood deaths decreasing by 10-15% in line with predictions, the mortality rate plummeted by 70%.

    “Seven-zero,” says Christine Stabell Benn, a professor of global health at the University of Southern Denmark, who is also involved in the Bandim Health Project.

    “That’s a tremendous reduction in mortality. Measles vaccine should not reduce mortality to that large extent according to what we know about measles vaccine and its effect.”

    Published in The Medical Republic

  • From kinks to chemical cannons: the nine weirdest COVID responses

    When the entire world is dealing with exactly the same mega-crisis, there are bound to be some government COVID policies that are a little more on the kooky side.

    We hunted down the nine strangest interventions happening on the planet right now. In these difficult times, we hope this very silly listicle brings you some joy.

    1. THE ONE-SEX-BUDDY POLICYThe country with a capital known for its risqué red light district and cannabis cafes – The Netherlands – has taken to doling out COVID-safe sex advice with refreshing candour.Singles looking to hook up during the pandemic were advised to stick to one sex buddy at a time on a government-affiliated website.

    There are two Dutch words for “sex buddy”: “seksbuddy” and “knuffelmaatje” (literally “someone to cuddle with”).The Rijksinstituut voor Volksgezondheid en Milieu (RIVM) used both words on their webpage dedicated to Coronavirus and Sexuality.“It is extra important that you keep the risk of the coronavirus as low as possible with intimacy and sex. For example, meet with the same person to have physical or sexual contact, for example a cuddle buddy or ‘sex buddy’,” the RIVM said.

    Published in The Medical Republic

  • Transgender children: When doing nothing causes harm

    Last month, Australia’s newest prime minister responded to a tabloid media story by tweeting this: “We do not need ‘gender whisperers’ in our schools. Let kids be kids.”

    Jo (not her real name), the mother of a transgender child in NSW, says this was the prime minister giving “the whole of Australia permission to kick us in the guts”.

    The Coalition’s Scott Morrison had only been in office for 13 days when he handed a megaphone to transphobics and transsceptics by endorsing the provocative news story in Sydney’s Daily Telegraph.

    The newspaper had incorrectly claimed that teachers were being “taught to spot potential transgender students”, leading to a “236% surge” in the number of children wanting to change their gender in the past three years.

    The number of transgender children coming out is certainly increasing dramatically, but not for the reasons stated in the story, says counsellor Dr Elizabeth Riley (PhD).

    The number of transgender children is the same as it ever was – around 1.2% of the population; kids just feel safer identifying as trans now that there is greater awareness and acceptance in society, she says.

    The Royal Children’s Hospital in Melbourne, which runs Australia’s leading Gender Service, has seen an increase in referrals from one patient every two years in 2003 to 104 new patients being referred in 2014.

  • Food for thought – meet the intolerance detectives

    Overcoming a lifetime of food-related trauma, Mark slowly unpeeled a banana, gingerly sliced off a one-centimetre coin, popped the piece into his mouth, and swallowed.

    His stomach heaved – but Mark was determined.

    He forced the rest of the vile, pale-yellow breakfast down and left for work.

    Mark (not his real name) was in the home stretch of a gruelling seven-month elimination diet to re-test his food intolerances.

    As a child, Mark had been extremely sensitive to three common food chemicals: amines, salicylates and glutamate, which are found in most fruits and vegetables.

    Food intolerances sometimes change over time, so Mark, aged 27, was embarking on a diagnostic elimination diet consisting largely of boiled eggs, porridge and rice.

    The bland baseline diet would help pinpoint which food was causing acid reflux, gastrointestinal and neurological symptoms. Over the past few days, Mark had been testing his amines threshold by eating quite a bit of dark chocolate.

    But it was the banana, which also contains amines, that pushed him over the limit.

    “That afternoon, I actually remember standing in a colleague’s office with a Tupperware bowl in front of me trying to resolve a particular piece of work whilst I was throwing up,” Mark recalls. “Then I started to get quite severe neurological reactions,” he said.

    Mark’s hypersensitivity to light, sound and touch got progressively worse over the next two hours, by which point he knew he needed to get home.

    “I remember being intensely uncomfortable,” he said. “Like I wanted to rip my own skin off. Even just the air prickling against my skin was unbearable. “I’m not meaning to be hyperbolic when I say if I had the ability to recognise that throwing myself off my balcony would have ended it then I probably would have done that. It was just torture.”

    Published in The Medical Republic

  • Why don’t we exploit the hell out of the placebo effect?

    It’s a counter-intuitive, mind-bending and rather uncomfortable fact that placebo pills produce about 60 to 80% of the benefit of the best medications for diseases with subjective symptoms such as chronic pain and depression.

    That is, a patient with chronic low back pain, mild-to-moderate depression or a migraine can swallow a pill that contains nothing but microcrystalline cellulose and experience clinically relevant symptom relief over a prolonged period of time without any of the side-effects of active medication.

    Doctors have always known this. Before the emergence of informed consent as a core principle of medicine in the mid-20th century, well-meaning physicians regularly hoodwinked patients with phoney treatments.

    Former US president Thomas Jefferson described the practice as “pious fraud” in a letter to his friend Dr Caspar Wistar in 1807: “One of the most successful physicians I have ever known, has assured me, that he used more bread pills, drops of coloured water, and powders of hickory ashes, than all other medicines put together,” he said.

    Today, such trickery is considered reprehensible, and doctors recoil from placebos. In fact, clinical trials are specifically designed to weed out medications that can’t outdo sugar pills.

    Due to seemingly insurmountable ethical barriers, very few resources have been devoted to discovering how to maximise the placebo effect, despite it being a cheap and mostly harmless treatment.

    Published in The Medical Republic

  • The vexed question of access for the disabled to study medicine

    “It always seems impossible, until it’s done.” – Nelson Mandela

    There was a time in the US when wheelchairs had to be manually lifted from the street to the sidewalk because there were no curb cuts. 

    In the 1970s, a band of UC Berkeley’s students with quadriplegia – who called themselves the Rolling Quads – protested until the local council agreed to cut ramps on every street. 

    Elsewhere across the country, demonstrators in wheelchairs took sledgehammers to pavements. And, bit by bit, they chipped away at discrimination.

    As soon as the curb cuts were made, it became obvious that they were useful to everyone, not just those with significant disabilities. 

    A curb cut is just a practical, alternative pathway. Once in place, a world without them becomes unthinkable.

    Published in The Medical Republic, 2019

  • Climate change: why despair isn’t an option

    Thinking back on the summer we’ve just had here in Sydney it feels like something has snapped.

    The far-off threat of climate change that scientists had been warning us about for decades was suddenly on our doorsteps.

    The bush became a fire-breathing dragon. Smoke wiped out the city skyline. Blue skies were snatched away. On a few days, it literally rained ash.

    Bewildered, people snapped photos of the funny orange dot in the sky – “the new normal” for post-apocalyptic Australia.

    As air pollution hit 11 times safe levels, North Sydney pool put up a warning sign telling people that exercising outside could be bad for their health.

    Published in The Medical Republic, 2020

Difficult topics

  • Why women feel pressured to amputate their genitals

    A 16-year old who lives in Sydney is so distressed by how her vulva looks she tries to take a pair of scissors to her labia. Another goes through puberty petrified that someone will spot her longer-than-average labia minora through her swimwear. She suffers emotional abuse from a partner who calls her genitals “weird”. She undergoes labiaplasty aged 23 and is satisfied with the result; it’s a relief to finally feel comfortable in her own skin, she says.

    Girls as young as 11 are now seeking genital cosmetic surgery in Australia, despite their genitals being comfortably within the bounds of what is considered normal by gynaecologists.

    At the Royal Children’s Hospital in Melbourne, the average age of females presenting with concerns about their genital appearance is 14.5 years.

    Surgical removal of labia minora tissue is generally only medically indicated, and Medicare rebatable, in women who suffer significant functional impairment due to labia that extend more than 8cm below the opening of the vagina while the patient is in a standing position.

    But, of 46 patients seen by the Royal Children’s Hospital for perceived genital issues, only three women had labia more than 5cm in width. Most girls with anxieties about their genital appearance were anatomically normal.

    In fact, there appears to be absolutely no correlation between labia minora width and the desire for surgical reduction; even women with labia minora as small as 1cm requested surgery in a UK study.

    This worrying trend of women with normal genitals seeking surgery has been seen around the globe. Labiaplasty is now the fourth most popular cosmetic procedure, after liposuction, breast augmentation and rhinoplasty.

    In Australia, 1,588 women had a blade taken to their genitals in 2013, representing a 140% increase in labiaplasties since 2001. The UK saw a five-fold increase over a decade, while rates of labiaplasty grew by 44% in one year alone in the US.

    Disturbingly, labiaplasty is medico-legally indistinguishable from female genital mutilation, which is now illegal in Australia even for consenting adults.

    Published in The Medical Republic

  • Can prison actually be good for your health?

    Alice* has a son who’s been to jail, an ex-spouse who is currently in jail, and she’s been to jail herself.

    She knows the NSW prison health system quite well and has nothing good to say about it.

    Her son was in prison for two years and received “no treatment whatsoever” for his severe eczema, she says. His skin was “absolutely appalling … like it was really, really bad … large scales of black crust all over his body”.

    Her former partner has spent over 25 years in prison. He was diagnosed with a hernia three years ago and is still waiting to have it removed. It could burst at any time, she says.

    “He’s a violent sort of criminal,” she says. “He’s only ever been out for a year or so since he was about 11 years old. His mental health should have been looked at a long, long time ago. It’s just gotten worse over the years.”

    When Alice was in custody in Newcastle for a few days, “there wasn’t even a cake of soap”, she says.

    “It wasn’t very hygienic. And the prison guards, they look through you as if you’re not even human. I was sort of poked with a baton to move along the hallways. It was very degrading.”

    Alice is not alone in giving Australian prisons a zero-star rating for healthcare.

    Twelve other family members of prisoners (whom I contacted through Facebook support networks) told me that jail had a profoundly negative effect on their loved one’s health.

    “When my son was arrested, he was brutally assaulted by the police and, despite the judge ordering urgent medical attention at his hearing the next morning, it took nine days to see a doctor,” said a woman from Melbourne.

    “My husband is currently in the NSW prison system,” another woman said. “His mental health has been a major issue since going in. We can’t get a proper diagnosis and he doesn’t receive correct medication on a regular basis. His mental health has continued to decline.”

    “My son had gallstones,” a woman from Victoria said. “He waited for over two weeks to be transferred to hospital. The only pain relief offered was Panadol.”

    Published in The Medical Republic

  • Why cultural respect programs aren’t working

    hen Dr Mark Lock was 20 years old, his grandmother found her mother through an Aboriginal organisation called Linkup NSW.

    Dr Lock (PhD), a Ngiyampaa academic who researches cultural safety, describes this sudden reconnection with his family as a “lightning-rod moment”.

    “She was stolen,” he says. “So, my great grandmother was taken from Melville Island off the north coast of the Northern Territory and transported down to Menindee in the top north-west corner of New South Wales.

    “And then she was raped. And my nan was born from that assault. And then my mum had me. It’s a typical story actually. Quite confronting when I think about it. That’s where I’ve come from.”

    Having shared his story, Dr Lock politely turned the spotlight on me and asked: What is your cultural background?

    I paused, feeling a little thrown. I didn’t really have an answer to that question.

    My background is bland and boring – white, Anglo-Saxon, a descendent of convicts and colonials. I am almost never called upon to describe my culture. My culture is so dominant that I forget it’s even a culture. It becomes white noise. How privileged is that?

    Indigenous Australian health advocates have been trying to convince doctors to notice culture – their own and others – for many years, with limited success.

    When you belong to the mainstream culture, the healthcare system just seems normal, vanilla even. Everything is familiar and predictable; the staff look like you and everyone knows what they’re supposed to be doing.

    It’s easy to forget that every interpersonal interaction in a GP clinic or hospital is being governed by an unwritten, intricate set of cultural rules.

    It’s easy to forget that this system has been deliberately planned out so that it makes someone with your specific cultural background feel completely at home.

    Unfortunately, many Indigenous people do not feel that way.

    “Aboriginal and Torres Strait Islander people have a lot of issues with going to hospital because they are really alienating environments, not just the physical space but the attitudes of health professionals and just the fact that they are colonially constructed organisations,” says Dr Lock.

    Published in The Medical Republic

STORIES FOR DOCTORS

  • Could n=1 trials break the medical cannabis deadlock?

    A GP took to the microphone at last month’s GP17 panel discussion on medical cannabis and said: “We’ve got a full house, and I’m sure most of us here are wondering, what do we do?”

  • Are we being too hard on integrative doctors?

    The Medical Board of Australia’s inbox has never been so full. As of mid-June, the board had received around 8,000 emails about its proposal to regulate doctors who use unconventional medicine.

  • How work (cover) can make matters worse

    People who have sustained a psychological injury at work face such a Kafka-esque whirlpool of paperwork and pushback from insurers that doctors are advising some patients to stop the claims process and just pay privately for treatment.

  • Why is there so little love for LARCs?

    Despite LARCs being much more effective than the pill, only a fraction of women use them. Why is this?

  • How to spot rubbish qualitative research

    Doctors tend to ignore qualitative research because it’s too hard to judge whether it’s any good or not. But it’s possible to identify low-quality qualitative research

  • Are we all just medical implant guinea pigs?

    A few years ago, a Dutch journalist teamed up with an Oxford University academic to see whether she could fool European regulators into approving fruit netting for use as transvaginal mesh.

  • Uncovering Scandinavia’s health-data secrets

    Nordic countries know something we don’t about using public-health data for research

  • ‘It’s like they’re trying to bankrupt us’

    Covid and flatlining Medicare rates are combining to squeeze bulk-billing practices into charging fees.

  • The ‘mad king’ conundrum

    Some US psychiatrists are breaking their professional code of ethics to warn the public about Donald Trump

NEWS for doctors

Healthed author profile

GPs are tolerance machines
Published on Healthed, 21 October 2022

How to say ‘no’ in general practice
Published on Healthed, 28 October 2022

GPs on social media – Where can we find them?
Published on Healthed, 14 October 2022

Remuneration, red tape, demanding patients: What your colleagues are saying
Published on Healthed, 30 September 2022

30% of GPs have seen bad outcomes from non-specialist cosmetic surgery but only 1% reported to AHPRA
Published on Healthed, 16 September 2022

78% of GPs want ‘cosmetic cowboys’ banned 
Published on Healthed, 7 September 2022

78% of GPs don’t understand the new CPD 
Published on Healthed, 3 September 2022

‘Disconnected’, ‘Loss of focus’, ’Does great work’: Presidential candidates respond to member concerns
Published on Healthed, 27 August 2022

Exclusive: Only 25% of GPs see value in RACGP membership
Published on Healthed, 24 August 2022

EXCLUSIVE: 60% of GPs have patients with long COVID
Published on Healthed, 19 August 2022

Have we passed the peak?
Published on Healthed 12 August, 2022

Will patients recover their urinary control and erectile function after prostatectomy?
Published on Healthed, 11 August 2022

Rhinitis: ‘The nose is just the tip of the iceberg’
Published on Healthed, 11 August 2022

If they are yawning, it’s too late 
Published on Healthed, 1 August 2022

A quarter of GPs feel burned out every day
Published on Healthed, 29 July 2022

‘We will never control the virus with vaccines alone’: virologist
Published on Healthed, 26 July 2022

1 in 9 GPs infected with COVID in the past two months 
Published on Healthed, 26 July 2022

‘Vaccine fatigue’ and misinformation are driving the lower booster uptake
Published by Healthed, 14 July 2022 

One in five GPs at risk of potentially fatal Zostavax error
Published by Healthed, 7 June 2022